GI SNAPSHOT Large bowel obstruction due to a benign uterine leiomyoma

Chaparala, R. P. C.; Fawole, A. S.; Ambrose, N. S.; Chapman, A. H.
March 2004
Gut;Mar2004, Vol. 53 Issue 3, p386
Academic Journal
A 44 year old woman was admitted with a two week history of colicky abdominal pain, vomiting, and constipation. Past medical history included Ehlers Danlos syndrome type IV with a history of spontaneous retroperitoncal haemorrhage treated conservatively. She was also known to have large uterine leiomyomas for which she was on hormonal therapy and was awaiting a hysterectomy. An emergency laparotomy for large bowel obstruction was carried out. At operation she was found to have a dilated small and large bowel with a cut off at the rectosigmoid. The cause of the obstruction was a hugely enlarged fibroid uterus which was incarcerated in the pelvis.


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